Spontaneous brainstem haemorrhage in a patient with uraemia undergoing initial hemodialysis: A case report

Li,Xiaodong; Jia,Ruili; Guo,Yancong

doi:10.3892/etm.2023.11789

Spontaneous brainstem haemorrhage in a patient with uraemia undergoing initial hemodialysis: A case report

Authors:
- Xiaodong Li
- Ruili Jia
- Yancong Guo
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Affiliations: Department of Nephrology, Baoding First Central Hospital of Hebei Medical University, Baoding, Hebei 071000, P.R. China
Published online on: January 5, 2023 https://doi.org/10.3892/etm.2023.11789
Article Number: 90

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Abstract

The present study reports the case of an elderly male inpatient with uraemia who had a sudden onset of numbness and weakness in the right limbs during sleep at night, accompanied by blurred and double vision, during the induction of haemodialysis (HD). Cranial computed tomography and magnetic resonance imaging revealed signs of brainstem haemorrhage. Consequently, a proactive treatment approach was adopted for decreasing the blood and intracranial pressures of the patient, and regular HD was continued. The condition of the patient improved, and the limbs showed no impairment of sensation, with normal movement. To the best of our knowledge, this is the first reported case of an inpatient with uraemia undergoing HD who developed a sudden brainstem haemorrhage during the induction phase of HD and completely recovered after conservative treatment. This unusual case deserves the attention of all clinicians, who should pay more attention to the patients with spontaneous brainstem hemorrhage.

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